Northeast Regional Director Resume Example
Love this resume?Build Your Own Now
NORTHEAST REGIONAL DIRECTOR
Executive Profile
Highly motivated and hard working professional committed to providing positive outcomes.
Skill Highlights
|
Core Accomplishments
Project Management:
- Initiated Pennsylvania transition of AS/400 into MyAvatar which resulted in our enabling our clinicians to input notes electronically, advanced billing software package, decrease in claim rejection and increase in revenue.
- Complete analysis of Northeast Revenue Cycle Management Department using a SWOT analysis. Implemented a process improvement plan which included steps to improve staff retention, update policies and procedures and ensure consistent revenue flow.
Professional Experience
June 2005
to
Current
Flextrade SystemsMilwaukee , WINortheast Regional Director
- Ensuring the efficient operation of the AS/400 Management Information System and other software applications as they relate to all aspect of the claims life span for three companies.
- Responsible for setting up new programs in electronic medical records system (Avatar).
- Duties include setting up programs including services codes, guarantors, and general ledger mapping.
- Lines of business include outpatient mental health clinics, children's partial hospitalization, family based clinics, behavioral health rehabilitative services, crisis residential, behavior support systems, and intellectual disabilities program which includes day treatment and residential.
- Supervising a team consisting of one medical biller/follow-up specialist supervisor, three cash posters, two authorization/utilization management specialist, and eight medical biller/follow up specialist.
- The goal is to ensure assigned job tasks are done in accordance with acceptable billing procedures, company policies and procedures, and government regulations.
- Follow through on compliance mandates regarding improper billed services and ensure payers receive reimbursement.
- Generation of semimonthly and monthly reporting for upper management's review and reporting.
- Creation of accounts receivables spreadsheet summarizing monthly changes in accounts receivables aging to identify positive and negative trends.
- Communication with payers and attendance at meetings to facilitate and maintain a billing mechanism which operates without interruption in an efficient organized manner.
July 1999
to
July 2005
Department Of JusticeDes Moines , IADirector of Billing
- Implementation of Medisoft billing software to enhance the business operations.
- Ensured a constant flow of revenue into the company.
- Responsible for managing the day-to-day operations of the billing department.
- Supervised a team four medical billers, cash posters, and follow up personnel.
- Lines of business included outpatient mental health clinics, children's partial hospitalization, family based clinics, and behavioral health rehabilitative services.
- Credentialing with third-party payers to provide behavioral health services to their members.
September 1996
to
June 1999
Cuyuna Regional Medical CenterBaxter , MNSecretary
- Responsible for providing administrative support to the Clinical Consultants and Manager.
- Developed internal and external training programs for Clinical Consulting Services.
- Coordinated monthly calendar and development of database to track Clinical Consultants physician visits and training.
- Conducted research thru ICS and ROAR mainframe to solve physician issues.
- Trained new staff in the various computer software packages and telephone system.
- Worked with Sales/Marketing Department and Member Services to resolve issues and ensure open communication.
June 1991
to
October 1994
Sargent's Court ReportingCity , STATEMedical Transcriptionist
- Responsible for transcribing cassette tapes and stenographer notes for Workmen's Compensation Cases.
- Proofreader for quality assurance and accuracy.
Education
January 2016
Capella UniversityMaster's Degree: Business AdministrationBusiness Administration
May 2011
University of PhoenixBachelor's Degree: Healthcare Administration and Information TechnologyHealthcare Administration and Information Technology
December 2008
Axia College, University of PhoenixAssociate's of Arts Degree: Health Care AdministrationHealth Care Administration
Professional Affiliations
Delta Mu Delta International Honor Society in Business
Skills
accounts receivables, administrative support, AS/400, behavioral health, billing, Consulting, critical thinking, database, electronic medical records, general ledger, government, government regulations, notes, mainframe, managing, Marketing, medical billing, meetings, mental health, office, Microsoft Office products, Management Information System, organizational skills, personnel, policies, posters, proofreader, quality assurance, reporting, research, Sales, spreadsheet, supervisor, Supervising, Team player, telephone, training programs
DISCLAIMER
Resumes, and other information uploaded or provided by the user, are considered User Content governed by our Terms & Conditions. As such, it is not owned by us, and it is the user who retains ownership over such content.
How this resume score could be improved?
Many factors go into creating a strong resume. Here are a few tweaks that could improve the score of this resume:
Resume Strength
- Completeness
- Word choice
- Length
- Measurable results
- Strong summary
Resume Overview
School Attended
- Capella University
- University of Phoenix
- Axia College, University of Phoenix
Job Titles Held:
- Northeast Regional Director
- Director of Billing
- Secretary
- Medical Transcriptionist
Degrees
- Master's Degree : Business Administration
Bachelor's Degree : Healthcare Administration and Information Technology
Associate's of Arts Degree : Health Care Administration
Similar Resumes
